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UST System Affirmative Statement of Compatibility - Page 3 of 4 Manufacturer Model or Part Year Compatibility With the Specific Product Name Number Manufactured Stored Has Been Demonstrated B listing) for use with [Ippartyaific Transition Sump this pproval(e.g.,UL NA NA NA ❑ Manufacturer's Affirmative Statement of Compati- bility posted on SWRCB website. ❑ Manufacturers Affirmative Statement of Compati- bility submitted with this form. Penetration Fitting LJ Third -party approval (e.g., UL listing) for use with this specific fuel. Bravo FF Series 2014 x❑ Manufacturers Affirmative Statement of Compati- bility posted on SWRCB website. ❑ Manufacturer's Affirmative Statement of Compati- bility submitted with this form. Penetration Fitting (e.g., UL listing) for use with ❑h arty approvalcific f Environ (2 Auto UDC) 2000 ❑ Manufacturer'sAffirmative Statement ofCompati- bility posted on SWRCB website. ❑ Manufacturers Affirmative Statement of Compati- bility submitted with this form. Penetration Fitting Third -party approval (e.g., UL listing) for use with this specific fuel. ❑ Manufacturers Affirmative Statement of Compati- bility posted on SWRCB website. ❑ Manufacturers Affirmative Statement of Compati- bili submitted with this form. Penetration Fitting Third -patty approval (e.g., UL listing) for use with this specific fuel. ❑ Manufacturers Affirmative Statement of Compati- bility posted on SWRCB website. ❑ Manufacturers Affirmative Statement of Compati- bility submitted with this form. Other Component(s) That May Contact Stored Product ❑ this hi specs i approval (e -g., UL listing) for use with is specific fuel. OPW Emergency Shut Off Valve 10 Series Various 0 ManufacturersAffirmative St bility posted on SWRCB websitementofCompati- te. ❑ Manufacturers Affirmative Statement of Compati- bility submitted with this form. Other Component(s) That May Contact Stored Product x Third -party approval (e.g., UL listing) for use with this specific fuel. FE Petro Turbine STP -5-166-51 Various ❑ ManafactureesAffirmativeStatementofCompati- bility posted on SWRCB website. ❑ Manufacturers Affirmative Statement of Compati- bility submitted with this form. Other Component(s)That Ma Contact Stored Product Y approval (e.g., UL listing) for use with this specific this specific fuel. ❑ Manufacturers Affirmative Statement of Compati- bility posted on SWRCB website. ❑ Manufacturers Affirmative Statement of Compati- bili submitted with this form. Attach additional r<rae(s) if necessary. I N-11111 www.unidocs.org 3/4- 11/16/15